(Complete 250 Questions) ATI Maternal-Child Nursing Exam 2024/2025 All Answers With Rationale/ Guarantee Pass

lO Mo A R cP S D| 1046 9388 (Complete 2 50 Questions) ATI Maternal -Child Nursing Exam 2024/20 25 1. A Nurse Is Caring For A Client Who Is At 40 Weeks Of Gestation And Is In Labor. The Client's Ultrasound Examination Indicates That The Fetus Is Small For Gestational Age (SGA). Which Of The Following Interventions Should Be Included In The Newborn’s Plan Of Care? A. Observe For Meconium In Respiratory Secretions. Rationale : When A Fetus Is SGA, There Is An Increased Risk For Intrauterine Hypoxia Due To The Presence Of Meconium In The Amniotic Fluid. The Nurse Should Observe For Meconium In Respiratory Secretions When Suctioning The Newborn At Delivery. Newborns Who Are SGA Are At Risk For Perinatal Asphyxia Due To The Stress Of Labor And Are Often Depressed. They Require Careful Resuscitation And Suctioning At Delivery. B. Monitor For Hyperglycemia. Rationale : Newborns Who Are SGA Have Difficulty Maintaining Normal Blood Glucose Levels And Are At High Risk For Hypoglycemia, Not Hyperglycemia. C. Identify Manifestations Of Anemia. Rationale : Infants Who Are SGA Have Polycythemia, Which Means There Are Too Many Red Blood Cells, Rather Than Anemia, In Which There Are Too Few Red Blood Cells. D. Monitor For Hyperthermia. Rationale : Infants Who Are SGA Have Difficulty Maintaining Normal Body Temperature And Are At High Risk For Hypothermia, Not Hyperthermia. 2. A Nurse Is Instructing A Woman Who Is Contemplating Pregnancy About Nutritional Needs. To Reduce The Risk Of Giving Birth To A Newborn Who Has A Neural Tube Defect, Which Of The Following Information Should The Nurse Include In The Teaching? A. Limit Alcohol Consumption. Rationale : Alcohol Consumption Has No Effect On The Incidence Of Neural Tube Defects. It Is Related To The Incidence Of Other Congenital Defects And Fetal Alcohol Syndrome (FAS) In Newborns Of Clients Who Consume Alcohol During Pregnancy. B. Increase Intake Of Iron-Rich Foods. Rationale : Iron Intake Has No Effect On The Incidence Of Neural Tube Defects. A Diet Low In Iron Places A Client Who Is Pregnant At Risk For Preterm Labor And Postpartum Hemorrhage. C. Consume Foods Fortified With Folic Acid. Rationale : Increased Consumption Of Folic Acid In The 3 Months Prior To Conception, As Well As Throughout The Pregnancy, Reduces The Incidence Of Neural Tube Defects In The Developing Fetus. Created On:2024 Page 1 lO Mo A R cP S D| 1046 9388 D. Avoid Foods Containing Aspartame. Rationale : Aspartame In The Diet Has No Effect On The Incidence Of Neural Tube Defects In A Fetus. Clients Who Have Phenylketonuria Should Be Advised To Avoid Aspartame Since It Contains Phenylalanine. 3. A Nurse In The Ambulatory Surgery Center Is Providing Discharge Teaching To A Client Who Had A Dilation And Curettage (D&C) Following A Spontaneous Miscarriage. Which Of The Following Should Be Included In The Teaching? A. Vaginal Intercourse Can Be Resumed After 2 Weeks. Rationale : The Client Should Avoid Vaginal Intercourse And The Use Of Tampons For 2 Weeks Following Discharge. B. Products Of Conception Will Be Present In Vaginal Bleeding. Rationale : The Products Of Conception Are Surgically Removed During A D&C. C. Increased Intake Of Zinc-Rich Foods Is Recommended. Rationale : The Client Is Encouraged To Consume Foods High In Iron And Protein To Replace Red Blood Cells And Repair Uterine Tissue. D. Aspirin May Be Taken For Cramps. Rationale : Aspirin For Pain Management Of Cramps Should Be Avoided Because Of Its Anticoagulant Property. NSAIDS , Such As Ibuprofen, Are Recommended As They Are An Antiprostaglandin Agent And Reduce The Discomfort Of Cramping. 4. A Nurse Is Caring For An Adolescent Client Who Is Gravida 1 And Para 0. The Client Was Admitted To The Hospital At 38 Weeks Of Gestation With A Diagnosis Of Preeclampsia. Which Of The Following Findings Should The Nurse Identify As Inconsistent With Preeclampsia? A. 1+ Pitting Sacral Edema Rationale : This Finding Is Consistent With The Diagnosis Of Preeclampsia. B. 3+ Protein In The Urine Rationale : This Finding Indicates Proteinuria, A Finding That Is Consistent With The Diagnosis Of Preeclampsia. C. Blood Pressure 148/98 Mm Hg Rationale : This Finding Is Consistent With The Diagnosis Of Preeclampsia. D. Deep Tendon Reflexes Of +1 Rationale : Deep Tendon Reflexes Of +1 Are Decreased. In A Client Who Has Preeclampsia, The Nurse Should Expect To Find An Increased, Rather Than A Decreased, Deep Tendon Reflex. Created On:2024 Page 2 lO Mo A R cP S D| 1046 9388 5. A Nurse Is Preparing To Assess A Newborn Who Is Postmature. Which Of The Following Findings Should The Nurse Expect? ( Select All That Apply.) A. Cracked , Peeling Skin B. Positive Moro Reflex C. Short , Soft Fingernails D. Abundant Lanugo E. Vernix In The Folds And Creases Rationale : <B>Cracked , Peeling Skin Is Correct.</B> Physical Findings That Indicate Postmaturity In A Newborn (Gestational Age Of Greater Than 42 Weeks) Include Cracked, Peeling Skin.<Br><Br><B> Positive Moro Reflex Is Correct.</B> Reflexes That Are Present In A Postmature Newborn Are The Same As Those That Are Present In A Mature Newborn. These Reflexes Include A Positive Moro Reflex.<Br><Br><B> Short , Soft Fingernails Is Incorrect.</B> Short , Soft Fingernails Are Not Characteristic Of The Postmature Newborn. They Appear Long And Are Hard.<Br><Br><B> Abundant Lanugo Is Incorrect.</B> Abundant Lanugo Is Seen In Preterm (Gestational Age Of Less Than 37 Weeks) Newborns.< Br><Br><B> Vernix In Folds And Creases Is Incorrect</B> Vernix In The Folds And Creases Is Seen In Mature, Term Newborns. 6. A Nurse Is Caring For A Client Who Is In Her First Trimester Of Pregnancy And Asks The Nurse If She Can Continueto Exercise During Pregnancy. Which Of The Following Responses By The Nurse Is Appropriate? A. "Exercising During Pregnancy Is Not Recommended." Rationale : Physical Activity During Pregnancy Improves Circulation, Rest, And Relieves Boredom. However , Risky Activities That Require Precise Balance And Coordination Should Be Avoided. B. "Daily Jogging For Up To 30 Minutes Is Fine Throughout The Pregnancy." Rationale : While Weight -Bearing Exercises Might Become Uncomfortable In The Last Trimester, They Are Generally Not Contraindicated, Providing The Client Stays Hydrated And Avoids Becoming Overheated For Extended Periods. C. "Activities That Raise The Body Temperature, Such As Saunas And Hot Tubs, Are Safe Until The Third Trimester." Rationale : Prolonged Or Repeated Elevations Of Maternal And Fetal Temperature Can Result In Birth Defects, Especially During The First Trimester Of Pregnancy. D. "It Is Recommended That Pregnant Clients Limit Their Exercise Routine To Stretching Activities On A Mat Several Times A Week." Rationale : Daily Moderate Exercise Throughout Pregnancy Is Recommended. After The Fourth Month Of Pregnancy, Clients Should Avoid Exercising Flat On Their Back Due To The Risk Of Vena Cava Syndrome. Created On:2024 Page 3 lO Mo A R cP S D| 1046 9388 7. A Nurse Is Caring For A Client Who Is In The First Stage Of Labor. The Nurse Observes The Umbilical Cord Protruding From The Vagina. Which Of The Following Actions Should The Nurse Perform First? A. Cover The Cord With A Sterile, Moist Saline Dressing. Rationale : While This Is Appropriate, It Is Not The First Action The Nurse Should Take. B. Prepare The Client For An Immediate Birth. Rationale : Although An Emergency Vaginal Or Cesarean Birth Might Be Necessary To Deliver The Fetus Safely, This Is Not The First Action The Nurse Should Take. C. Place The Client In Knee -Chest Position. Rationale : Although This Is Appropriate, It Is Not The First Action The Nurse Should Take. D. Insert A Gloved Hand Into The Vagina To Relieve Pressure On The Cord. Rationale : This Is The First Nursing Action Because It Is Essential To Prevent Any Pressure On The Umbilical Cord To Promote Oxygenation Of The Fetus. 8. A Nurse At A Prenatal Clinic Is Caring For A Client Who Is In Her First Trimester Of Pregnancy. The Client Tells The Nurse That She Is Upset Because, Although She And Her Husband Planned This Pregnancy, She Has Been Having Many Doubts And Second Thoughts About The Upcoming Changes In Her Life. Which Of The Following Is An Appropriate Response By The Nurse? A. "Ambivalent Feelings Are Quite Common For Women Early In Pregnancy." Rationale : This Response Uses The Therapeutic Communication Technique Of Providing Information While Addressing The Client's Concerns And Feelings. This Statement Is True And Gives The Client The Information She Needs; Many Antepartum Women Experience Similar Feelings In Early Pregnancy. B. "Perhaps You Should See A Counselor To Discuss These Feelings Further." Rationale : This Nontherapeutic Response Puts The Client's Feelings On Hold By Referring Her To Another Person. C. "Have You Spoken To Your Mother About These Feelings?" Rationale : This Is A Closed -Ended Response That Is Nontherapeutic Because It Anticipates A "Yes" Or "No" Reply From The Client And Refers Her To An Inappropriate Person. D. "Don't Worry. You Will Be Fine Once The Baby Is Born." Rationale : This Nontherapeutic Response Devalues The Client's Feelings. 9. A Nurse Is Caring For A Client Who Is In Premature Labor And Is Receiving Terbutaline. The Nurse Should Monitor The Client For Which Of The Following Adverse Effects That Should Be Reported To The Provider? A. Headaches Rationale : Created On:2024 Page 4